Provider Demographics
NPI:1487870507
Name:ABIFARIN, OLALEKAN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:OLALEKAN
Middle Name:
Last Name:ABIFARIN
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1226 N 52ND ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-4315
Mailing Address - Country:US
Mailing Address - Phone:267-713-7066
Mailing Address - Fax:215-921-2708
Practice Address - Street 1:1226 N 52ND ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-4315
Practice Address - Country:US
Practice Address - Phone:267-713-7066
Practice Address - Fax:215-921-2708
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03079300183500000X
PARP441366183500000X
DEA1-00041161835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist